• 대한두경부종양학회:학술대회논문집
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• 2003.11a
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• pp.232-232
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• 2003

• 대한두경부종양학회:학술대회논문집
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• 1998.11a
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• pp.295-296
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• 1998

• Korean Journal of Head & Neck Oncology
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• v.28 no.2
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• pp.122-124
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• 2012

Introduction : No drain technique during parotidectomy had been introduced to reduce postoperative morbidity and to minimize hospital stay in a few previous publications. Since the authors have applied this technique in select patients for several years, we wanted to evaluate the feasibility and usefulness of no drain parotidectomy. Material & Methods : We retrospectively reviewed the medical records of 96 patients who underwent superficial or total parotidectomy by one surgeon from May 2005 to July 2012. The decision on drain insertion was made by the operator at the end of the surgery. The patients were categorized as drain insertion group and no drain group. Results : The patients who have smaller tumors and benign lesions were more frequently chosen into no drain group. Hospital stay was shorter in no drain group than in drain insertion group. Although no drain group showed increased number of acute complications such as seroma and hematoma, the complications were mild and could be controlled easily at the outpatient clinic. Conclusion : No drain technique during parotidectomy could be done relatively safely in select patients and it could reduce hospital stay.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.30 no.2
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• pp.165-169
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• 2004

Pleomorphic adenoma is the most common neoplasm of the parotid gland, generally presenting as a slowly growing, firm, well-circumscribed, painless nodule. It is often difficult to separate into benign and malignant categories because its bland histomorphologic and cytologic features. This tumor can be rarely associated with cystic change, hemorrhagic necrosis, or spontaneous infarction. Necrosis of lesional tissue may be associated with malignant transformation, particularly in a pleomorphic adenoma. We report a case of 50-year-old woman presented with a enlarging right parotid mass. Computed tomographic scan demonstrated a right superficial lobe mass with ill-defined border. The preoperative fine needle aspiration yielded necrotic debris and atypical squamous elements that were thought to be compatible with high degree of mucoepidermoid carcinoma. A total parotidectomy with intraoperative frozen section revealed extensive necrosis and diagnosed as malignant tumor. This tumor was finally diagnosed as a pleomorphic adenoma with necrosis on permanent sections. Caution should be exercised in evaluation of the parotid neoplasms with central necrosis to avoid misdiagnosis of such lesions as malignancy.

• Korean Journal of Head & Neck Oncology
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• v.19 no.1
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• pp.3-8
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• 2003

Background: Surgical management of recurrent pleomorphic adenoma of the parotid gland has a considerable risk of facial nerve injury and a high re-recurrence rate. To obtain more insight into the issue of recurrent pleomorphic adenoma and more specifically to evaluate our experience and results of treatment, a retrospective study was carried out. Materials and Methods: During the period from 1989 to 2002, the medical records of 14 patients who underwent a operation for recurrent pleomorphic adenoma of the parotid gland were reviewed retrospectively. The initial operation for parotid tumor, clinical features of recurrence, reoperation after recurrence, po stop complication were analysed. Results: The male to female ratio was 6 : 9. Median age of the patients at the time of the initial operation was 33 years and at the time of the reoperation was 43 years. The median interval until recurrence was 105 months (6-252 months). The initial operations performed were excision or enucleation in 10 patients, superficial parotidectomy in 3 patients, total parotidectmy in 1 patients. The thirteen patients were underwent reoperation (8 superficial parotidectomies, 3 total parotidectomies, 1 neartotal parotidectomy, 1 wide excision). The facial nerve paralysis after the reoperation occured in 6 patients but all of them were recovered from 3 months to 1 year after surgery. Conclusion: In the management of pleomorphic adenoma of the parotid gland, excision or enucleation is to be avoided due to the higher recurrence rate and superficial or total parotidectomy with preservation of the facial nerve are to be preferred. Because the risk of facial nerve injury during operation for the recurrent tumor was higher than initial surgery, more careful surgical procedure is mandatory for preserving the facial nerve.

• The Korean Journal of Nuclear Medicine
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• v.35 no.1
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• pp.43-51
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• 2001

Purpose: In this study, we compared the quantitative characteristics of dynamic salivary gland scintigraphy with static scintigraphy in patients with clinical sicca syndrome using Tc-99m pertechnetate. Materials and Methods: Fifty-two parotid glands and 52 submandibular glands out of 26 patients with clinical sicca syndrome were studied by dynamic and static salivary gland scintigraphy. Ten normal volunteers were also studied as a control group for comparison of scintigraphic parameters. Ten minutes after injection of 370 MBq Tc-99m pertechnetate, we obtained pre-stimulus static images for a few minutes. Then dynamic salivary gland scintigraphy with lemon juice stimulation was performed for 20 minutes. Finally we obtained post-stimulus static images after dynamic images. On dynamic study, functional parameters such as uptake rate, secretion rate and re-uptake rate were calculated. The results of dynamic study and static images were compared. Results: On dynamic study, we could obtain functional parameters of salivary glands successfully. On dynamic study, 22 parotid glands and 22 submandibular glands out of each of 52 glands are abnormal. The static images demonstrated somewhat different results, of which reasons we could assume via dynamic study. Conclusion: Dynamic salivary gland scintigraphy using Tc-99m perechnetate were more functional than static images and might be useful in the assessment of the functional change of the salivary gland in patients with clinical sicca syndrome.

• 전기의세계
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• v.38 no.6
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• pp.12-18
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• 1989

한국형 고속전철을 고려하는데 있어서 위에서의 기술적인 측면보다도 오히려 수송용량, 경제성, 운영방식의 측면에서 더 많은 비중을 두고 검토해야 하는지도 모른다. 그러한 측면에서 한국형 고속전철은 한국의 지형조건, 경부간의 연변인구, 현경부선의 장래, 고속전철의 운영방식, 한국철도의 기술수준 등을 고려하지 않으면 안되고 한국형이어야 한다. 한국형 고속전철은 1. 경부간 고속전철의 거리는 380Km정도이므로 2000년대의 국민 일인당 시간가치를 기준으로 최고속도를 결정하여야 하고 표정속도는 190Km/h이상이어야 한다. 2. 고속화를 위한 필수조건인 차량의 축중을 17톤 이하로 제한하여야 하고 기존의 철도차량이 고속전철선에 야간열차등으로 투입되더라도 이 원칙은 유지되어야 한다. 3. 수송능력을 확보하기 위하여 열차편성당 좌석수는 800석 이하로 확보되어야 한다. 4. 기존선에서의 연장운행이 불가피하므로 기존선의 차량한계 내에서 안전하게 운행될 수 있어야 하고 전력공급은 기존선 방식인 A/C25KV, 60HZ의 사용이 불가피하다. 5. 고속전철의 건설비용, 차량의 제작비, 기술이전도, 국산화율 등을 고려한 시스템이어야 한다. 한국형 고속전철은 위의 기본원칙을 최소한 만조시킬 수 있는 시스템이어야 한다.

• Proceedings of the Korea Crystallographic Association Conference
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• 2002.11a
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• pp.35-35
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• 2002

나노미터 표준을 확립하기 위하여 일체식 엑스선 간섭계에 광간섭계를 결합시킨 복합간섭계를 구성하였다. 복합간섭계는 광간섭계의 Zero crossing 지점부터 표준시편이 올려진 미소이동대의 이동거리를 변화된 위상값으로 읽고 그 변화량을 고분해능 변위 측정기인 엑스선 간섭계로 읽어들이는 구조로 구성된다. 본 연구에서는 미소이동대의 위치 변화와 관련된 광간섭계의 위상 안정도, 엑스선 간섭계 및 미소이동대의 위치 안정도 등이 나노미터 영역의 길이 측정에 매우 중요한 요인이 되므로, 미소이동대의 위치 변화시 정지상태에서의 위상 잠김 (phase locking) 안정도를 측정하였다. 마이켈슨 레이저간섭계의 한쪽 팔을 고정시키고 다른 한 팔은 미소이동대 위에 반사거울을 설치하여 미소이동대의 움직임을 측정하였다. 보다 안정된 위상잠김 상태를 확보하기 위하여 PID feedback loop controller를 사용하였다. 측정 결과 위상 변동폭이 0.022 degree 이하의 높은 위상잠김 안정도를 확보하였으며, 이를 길이단위로 환산하면 정지상태에서 약 0.02 nm 이하의 위치 안정도를 나타낸다.

• Korean Journal of Head & Neck Oncology
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• v.26 no.2
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• pp.171-177
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• 2010

연구목적 : 비인두암 환자들을 대상으로 방사선치료 시 삼차원입체조형치료기법과 용적세기조절회전치료기법을 비교하고 이하선을 포함한 정상조직 보호에 있어 그 차이점을 알아 보고자 본 연구를 시행하였다. 대상 및 방법 : 비인두암 환자 5명을 대상으로 치료계획용 CT(computed tomography)를 시행 후 삼차원입체조형방사선치료계획 과 용적세기조절회전치료계획을 시행하였다. 이를 바탕으로 얻은 선량분포, conformity index(CI) 그리고 선량체적 히스토그램을 통해 손상위험장기(organ at risk)와 계획용표적체적(planning target volume)을 비교 분석하였다. 결 과 : 분석결과 이하선에 조사되는 평균선량이 용적세기조절회전치료계획에서는 43.9%로 삼차원입체조형치료계획에서의 89.4% 보다 유의하게(p=0.043) 감소하였다. 계획용표적체적 conformity index의 경우 용적세기조절회전치료계획 (CI=1.06)에서 삼차원입체조형치료계획(CI=2.55) 보다 유의하게(p=0.043) 향상된 결과를 보였다. 결 론 : 비인두암 환자에서 용적세기조절회전 치료계획 시 삼차원입체조형치료계획 보다 유의하게 이하선에 평균선량이 줄었고 계획용 표적체적에 대한 conformity도 유의하게 향상되는 결과를 보였다. 본 연구가 적은 수의 환자를 대상으로 하였으나 용적세기조절회전치료기법을 시행 시 구강건조증의 발생을 줄일 수 있을 것으로 기대된다. 향후 더 많은 환자군을 대상으로 한 임상연구가 필요할 것으로 사료된다.

• Radiation Oncology Journal
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• v.12 no.1
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• pp.43-50
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• 1994

A retrospective analysis was performed on 55 patients with malignant parotid tumor who were treated with radiation therapy between March, 1979 and July, 1989. Of these patients, 8 patients received radiation therapy(RT) alone and 47 patients were treated with combined operation and radiation therapy(OP + RT). The follow-up period of the survivors ranged from 1 to 129 months with a median of 48 months. The common histologic types were mucoepidermoid carcinoma (25 cases), malignant mixed tumor(12 cases), adenoid cystic carcinoma(6 cases). The 5 and 10 year local control rate were 69.8% and 65.7% in all patients. In OP+RT group, prognostic factors related to local control were histologic grade, tumor size, lymph node metastasis. Resection of facial nerve did not affect the local control rate significantly(p=0.129). Distant metastasis developed in 23.6% of patients, mostly to the lung. Actuarial overall survival rate was 72.2% at 10 years and formed plateau after 5 years. Disease-free (NED) survival rate was 49.4% at 10 years and was better achieved in OP+RT group and low grade lesions. Based on our result, a well planned postoperative RT following parotidectomy is highly efficacious in controlling malignant tumors of the parotid gland and preservation of facial nerve.